approach by specialty:
neuro: tPA
cards: PCI
GI: golytely
pulm: bronch
neph: furosemide
hospitalist: IV fluid
ID: rec consult surg
surg: rec consult IR
IR: inari flowtriever
urology: tamsulosin
neurosurg: mannitol
anes: mcgill forcepts
EM: ketamine
derm: steroid
obgyn: c-section
Josh Farkas MD ๐
14.2K posts
Author of the Internet Book of Critical Care ๐๏ธ Board certified in critical care, pulmonology, and neurocritical care ๐ค Zentensivist ๐งโโ๏ธ No COI ๐ฐ
- evidence-based medicine versus hospital culture x.com/InterestingsAsโฆ
- the RN shortage: Iโm torn between laughing and crying
- Flight Attendant: is there a doc on board? Me: um, I guess I'm a doc? Flight Attendant: Fabulous, we're saved! Me: HELP I NEED A NURSE, RESPIRATORY THERAPIST, AND PHARMACIST STAT! (team assembles, saves patient, I do little) Me: that was exhausting, I need more coffee.
- using a benzodiazepine to treat delirium-induced agitation x.com/ohshidt/statusโฆ
- neurologists intensivists ๐ค nobody should die without steroids
- once in med school i was on a rotation with one other guy. we didn't know what to wear, so we agreed to show up in scrubs. the next day I roll in wearing scrubs & sneakers, and he's decked out with a shirt, tie, and dress pants like the king of Italy. med school was so weird.one time in med school I had a classmate actually get mad at me because I said I was interested in applying into anesthesia and they said that they were applying into anesthesia and that I couldn't just blindside them like that
- Trump's latest bout of gaslighting scientists has pushed the NEJM editors to explicitly recommend leadership change. unprecedented but appropriate. #BidenHarris2020
- the new Surviving Sepsis 2021 guidelines are out! These are terrific guidelines for anyone who knows absolutely nothing about treating sepsis. For example, if @DGlaucomflecken actually needed to run an ICU, this would be perfect.๐๐ link.springer.com/article/10.100โฆ
- if youโre working the ICU today like me, youโre officially allowed to use whatever antibiotics you want. sunday AND christmas. nobody is paying attention. interested in what happens when you combine linezolid, tigecycline, ceftaroline, and isavuconazonium? GO for it.
GIF - PIPERACILLIN-TAZOBACTAM IS NOT NEPHROTOXIC: exploring the arc of a myth over time this was clearly a myth in 2016: emcrit.org/pulmcrit/piperโฆ blog from 2022 exploring the evolution of this myth: emcrit.org/pulmcrit/myth-โฆ fresh RCT to finally settle this: jamanetwork.com/journals/jama/โฆ
- I SAW IT GO THROUGH THE CORDS โจ ๐ข๐ณ๐ณ๐ถ๐ฐ๐ถ๐ฎ๐น ๐๐ผ๐๐ฟ๐ฐ๐ฒ๐ ๐ต๐ฎ๐๐ฒ ๐ฑ๐ฒ๐๐ฒ๐ฟ๐บ๐ถ๐ป๐ฒ๐ฑ ๐ฑ๐ถ๐ณ๐ณ๐ฒ๐ฟ๐ฒ๐ป๐๐น๐
















